RESUMO
Late diagnostics of colon cancer along with high specific weight of the patients of elder age groups indicated the urgency of study of application of cytoreductive surgery in elderly and senile patients of with colorectal cancer. A comparative assessment of the results of cytoreductive operations (primary tumor resection) was made in two groups of patients with disseminated colon cancer (younger and older than 60 years old). It was stated, that the performance of palliative resection allowed them to obtain of encouraging remote results, provide more higher survival rates than in patients of young and mean age groups. The more frequent development of complications after cytoreductive operations was associated with decompensation of accompanying pathology in patients of elder age groups. These data confirmed the need of their adequate correction in preoperative period. The application of cytoreductive surgery significantly improved the quality of life of the patients of elder age groups with disseminated forms of colon cancer.
Assuntos
Neoplasias Colorretais , Procedimentos Cirúrgicos de Citorredução , Período Perioperatório , Complicações Pós-Operatórias/diagnóstico , Qualidade de Vida , Idoso , Neoplasias Colorretais/mortalidade , Neoplasias Colorretais/patologia , Neoplasias Colorretais/psicologia , Neoplasias Colorretais/cirurgia , Procedimentos Cirúrgicos de Citorredução/efeitos adversos , Procedimentos Cirúrgicos de Citorredução/métodos , Progressão da Doença , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Período Perioperatório/métodos , Período Perioperatório/psicologia , Fatores de Risco , Federação Russa/epidemiologia , Análise de SobrevidaRESUMO
The article analyzed the results of radical operative treatment of 102 patients aged 35-85 years old. It was shown that combined operations on patients of 60 years old and older were associated with high risk of somatic complications in postoperative period. However, these operations provided more higher rate of survival compared with patients younger than 60 years old and improved the quality of life.
Assuntos
Colectomia , Neoplasias do Colo , Complicações Pós-Operatórias , Qualidade de Vida/psicologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Colectomia/efeitos adversos , Colectomia/métodos , Neoplasias do Colo/mortalidade , Neoplasias do Colo/patologia , Neoplasias do Colo/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Estadiamento de Neoplasias , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Complicações Pós-Operatórias/psicologia , Fatores de Risco , Federação Russa/epidemiologia , Análise de SobrevidaRESUMO
The article described an original method of forming preventive colostomy, which reduced the rate of incompetence of interintestinal anastomosis in sphinctersaving resection concerning rectal cancer. This also facilitated patient's rehabilitation in early postoperative period.
Assuntos
Fístula Anastomótica/prevenção & controle , Colo/cirurgia , Colostomia/métodos , Planejamento de Assistência ao Paciente , Neoplasias Retais/cirurgia , Idoso , Anastomose Cirúrgica/efeitos adversos , Colectomia , Feminino , Seguimentos , Humanos , Masculino , Período Pós-Operatório , Estudos RetrospectivosRESUMO
The authors analyzed the experience at the period from September 2000 to January 2014. The total exenterations of the small pelvis were performed on 23 patients (12 men and 11 women) at the age from 37 to 71 years old. Supralevator total exenterations with full visceral reconstruction were carried out in 13 cases out of 23. Total infralevator pelvic exenterations were used in 10 cases. There wasn't the intraoperative lethality. Patients (3 cases) died in postoperative period. Postoperative complications developed in 10 patients, though serious complications, which required an application of surgical strategy were noted only in 3 cases. The mean life span consisted of 29 months. The performance of total exenteration of the small pelvis considerably increased the life span of the patients and in case of application of reconstructive methods allowed restoration of quality of life to high level and obtaining moral, psychological and social rehabilitation.
Assuntos
Recidiva Local de Neoplasia/cirurgia , Exenteração Pélvica , Procedimentos de Cirurgia Plástica/métodos , Complicações Pós-Operatórias , Qualidade de Vida , Neoplasias Retais , Neoplasias Urogenitais , Adulto , Idoso , Feminino , Humanos , Pelve Menor/patologia , Pelve Menor/cirurgia , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Exenteração Pélvica/efeitos adversos , Exenteração Pélvica/métodos , Exenteração Pélvica/mortalidade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/mortalidade , Complicações Pós-Operatórias/psicologia , Complicações Pós-Operatórias/cirurgia , Neoplasias Retais/patologia , Neoplasias Retais/cirurgia , Estudos Retrospectivos , Federação Russa , Análise de Sobrevida , Neoplasias Urogenitais/patologia , Neoplasias Urogenitais/cirurgiaRESUMO
The authors analyzed an experience with treatment of 176 patients. It was shown that increasing colonoscopy allowed clear differentiation of neoplasm in the colon, decision on the strategy of treatment. The effective method is endoscopic resection of intestine mucosa.
